WO1996000212A1 - Compounds and methods for the treatment of cardiovascular, inflammatory and immune disorders - Google Patents
Compounds and methods for the treatment of cardiovascular, inflammatory and immune disorders Download PDFInfo
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- WO1996000212A1 WO1996000212A1 PCT/US1995/008213 US9508213W WO9600212A1 WO 1996000212 A1 WO1996000212 A1 WO 1996000212A1 US 9508213 W US9508213 W US 9508213W WO 9600212 A1 WO9600212 A1 WO 9600212A1
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- 0 CC(*1)C(*)C(*)C1[Al] Chemical compound CC(*1)C(*)C(*)C1[Al] 0.000 description 1
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D471/00—Heterocyclic compounds containing nitrogen atoms as the only ring hetero atoms in the condensed system, at least one ring being a six-membered ring with one nitrogen atom, not provided for by groups C07D451/00 - C07D463/00
- C07D471/02—Heterocyclic compounds containing nitrogen atoms as the only ring hetero atoms in the condensed system, at least one ring being a six-membered ring with one nitrogen atom, not provided for by groups C07D451/00 - C07D463/00 in which the condensed system contains two hetero rings
- C07D471/04—Ortho-condensed systems
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P29/00—Non-central analgesic, antipyretic or antiinflammatory agents, e.g. antirheumatic agents; Non-steroidal antiinflammatory drugs [NSAID]
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P37/00—Drugs for immunological or allergic disorders
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P9/00—Drugs for disorders of the cardiovascular system
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D307/00—Heterocyclic compounds containing five-membered rings having one oxygen atom as the only ring hetero atom
- C07D307/02—Heterocyclic compounds containing five-membered rings having one oxygen atom as the only ring hetero atom not condensed with other rings
- C07D307/04—Heterocyclic compounds containing five-membered rings having one oxygen atom as the only ring hetero atom not condensed with other rings having no double bonds between ring members or between ring members and non-ring members
- C07D307/10—Heterocyclic compounds containing five-membered rings having one oxygen atom as the only ring hetero atom not condensed with other rings having no double bonds between ring members or between ring members and non-ring members with substituted hydrocarbon radicals attached to ring carbon atoms
- C07D307/14—Radicals substituted by nitrogen atoms not forming part of a nitro radical
Definitions
- This invention is in the area of 2,5- disubstituted tetrahydrothiophenes, tetra- hydrofurans, pyrrolidines and 1,3-disubstituted cyclopentanes.
- the compounds exhibit biological activity by inhibiting the enzyme 5-lipoxygenase, acting as PAF receptor antagonists, or by
- Leukotrienes are potent local mediators, playing a major role in inflammatory and allergic responses, including arthritis, asthma, psoriasis, and thrombotic disease.
- Leukotrienes are straight chain eicosanoids produced by the oxidation of arachidonic acid by lipoxygenases.
- Arachidonic acid is oxidized by 5-lipoxygenase to the
- hydroperoxide 5-hydroperoxy-eicosatetraenoic acid (5-HPETE), that is converted to leukotriene A 4 , that in turn can be converted to leukotriene B 4 , C 4 , or D 4 .
- the slow-reacting substance of anaphylaxis is now known to be a mixture of leukotrienes C 4 , D 4 , and E 4 , all of which are potent bronchoconstrictors.
- tetrahydrothiophenes are PAF antagonists and leukotriene synthesis inhibitors.
- WO 92/13848 discloses a class of racemic lipoxygenase-inhibiting hydroxamic acid and N- hydroxyurea derivatives of the structure
- R 1 is hydrogen, alkyl, alkenyl, amino or substituted amino
- R 4 is hydrogen, a
- A is alkylene or alkenylene
- X is oxygen or sulfur
- each Y is hydrogen, halo, cyano, hydroxy, alkyl, alkoxy, alkylthio, alkenyl, alkoxyalkyl, cycloalkyl, aryl, aryloxy, arylalkyl, arylalkenyl, arylalkoxy or substituted aryl
- Z is oxygen or sulfur
- m is 0 or 1
- n is 1 to 5
- p is 2 to 6, inhibit the enzyme lipoxygenase.
- Platelet activating factor (PAF, 1-O-alkyl-2- acetyl-sn-glycerol-3-phosphorylcholine) is a potent inflammatory phospholipid mediator with a wide variety of biological activities. PAF was
- the potency (active at 10 -12 to 10 -9 M), tissue level (picomoles) and short plasma half life (2-4 minutes) of PAF are similar to those of other lipid mediators such as thromboxane A 2 , prostaglandins, and leukotrienes.
- PAF mediates biological responses by binding to specific PAF receptors found in a wide variety of cells and tissues. Structure-activity studies on PAF and its analogs indicate that the ability of PAF to bind to these receptors is structure
- CV-3988 a phospholipid analog referred to as CV-3988 (rac-3-(N-n- octadecyl-carbamoyloxy- ⁇ -methoxypropyl-2- thiazolioethyl phosphate) was reported to have PAF receptor antagonist properties.
- CV-3988 rac-3-(N-n- octadecyl-carbamoyloxy- ⁇ -methoxypropyl-2- thiazolioethyl phosphate
- L-652,731 was found to be orally active, and to inhibit PAF-induced rat cutaneous vascular endothelial growth factor (IL-12).
- trans-L-652 , 731 (wherein the aryl groups at the 2 and 5 positions are on opposite sides of the plane of the tetrahydrofuran ring) is approximately 1000 times more potent than cis-L-652, 731 (wherein the 2 and 5 aryl substituents are on the same side of the plane of the tetrahydrofuran ring).
- L- 659,989 trans-2-(3-methoxy-4-propoxyphenyl-5- methylsulfonyl)-5-(3,4,5-trimethoxy- phenyl)tetrahydrofuran
- L- 659,989 trans-2-(3-methoxy-4-propoxyphenyl-5- methylsulfonyl)-5-(3,4,5-trimethoxy- phenyl)tetrahydrofuran
- Ar is an aryl or heteroaryl group that is optionally substituted, preferably with halo
- n 0 or 1
- q is 0 or 1
- n 0-6;
- W is independently -AN(OM)C(O)N(R 3 )R 4 ,
- A is lower alkyl, lower alkenyl, lower
- alkynyl, alkylaryl or arylalkyl groups wherein one or more carbons optionally can be replaced by O, N, or S (with valence completed with hydrogen or oxygen as necessary), however, -Y-A-, -A-, or -AW- should not include two adjacent heteroatoms (i.e., -O-O-, -S-S-, -O-S-, etc.)
- lower alkyl is a branched alkyl group such as
- n 1-5, and specifically -(CH 2 ) 2 C(CH 3 ) H-, or lower alkynyl of the formula -C ⁇ C-CH (lower alkyl)-, including
- B is selected from the group consisting of pyridylimidazole and benzimidazole, either of which is optionally substituted with R 3 , and wherein the pyridylimidazole or benzimidazole is preferably connected to A through a nitrogen atom;
- M is hydrogen, a pharmaceutically acceptable cation, or a metabolically cleavable leaving group
- X is O, S, S(O), S(O) 2 , NR 3 , or CHR 5 ;
- Y is O, S, S(O), S(O) 2 , NR 3 , or CHR 5 ;
- Z is O, S, S(O), S(O) 2 , NR 3 ;
- R 1 and R 2 are independently hydrogen, lower alkyl including methyl, cyc1opropylmethyl, ethyl, isopropyl, butyl, pentyl hexyl, and C 3-8 cycloalkyl, for example, cyclopentyl; halo lower alkyl, for example, trifluoromethyl; halo, for example fluoro; and -COOH;
- R 3 and R 4 are independently hydrogen or alkyl, alkenyl, alkynyl, aryl, arylalkyl, alkylaryl, C 1-6 alkoxy-C 1-10 alkyl, C 1-6 alkylthio-C 1-10 alkyl,
- heteroaryl or heteroarylalkyl-
- R 5 is hydrogen, lower alkyl, lower alkenyl, lower alkynyl, arylalkyl, alkyaryl,
- the Ar group in one embodiment, is selected from the group consisting of phenyl, trimethoxy- phenyl, dimethoxyphenyl, fluorophenyl (specifically 4-fluorophenyl), difluorophenyl, pyridyl,
- -A-B is
- Ar is an optionally substituted aryl or
- heteroaryl group as described in more detail in section I.A. below.
- Nonlimiting examples of preferred compounds are:
- R 10 is halogen, -CN, hydrogen, lower alkyl, lower alkenyl, lower alkynyl, lower alkoxy, or lower aryloxy.
- polymorphonuclear leukocytes during an inflammatory or immune response exhibit this biological activity by inhibiting the enzyme 5- lipoxygenase, acting as PAF receptor antagonists, or by exhibiting dual activity, i.e., by acting as both a PAF receptor antagonist and inhibitor of 5- lipoxygenase.
- Another embodiment of the present invention is a pharmaceutical composition that includes an effective amount of a compound of Formula I or its pharmaceutically acceptable salt or derivative in combination with a pharmaceutically acceptable carrier for any of the disorders described herein.
- the compounds are used to treat disorders mediated by 5-lipoxygenase, by administering an effective amount of one or more of the above-identified compounds or a
- the activity of the compound for example, the 5- lipoxygenase activity, oral availability, and stability in vivo (for example, glucuronidation rate) can vary significantly among the optical isomers of the disclosed compounds. Therefore, in one embodiment of the invention, the compound is administered in an enantiomerically enriched form.
- cardiovascular disorders include general
- cardiovascular disorders including hypertension, skeletal-muscular disorders,
- osteoarthritis gout, asthma, lung edema, adult respiratory distress syndrome, pain, aggregation of platelets, shock, rheumatoid arthritis, juvenile rheumatoid arthritis, psoriatic arthritis,
- encephalomyelitis systemic lupus erythematosis, acute necrotizing hemorrhagic encephalopathy, idiopathic thrombocytopenia, polychondritis, chronic active hepatitis, idiopathic sprue, Crohn's disease, Graves ophthalmopathy, primary biliary cirrhosis, uveitis posterior, interstitial lung fibrosis; allergic asthma; and inappropriate allergic responses to environmental stimuli such as poison ivy, pollen, insect stings and certain foods, including atopic dermatitis and contact dermatitis.
- the compounds disclosed herein can also be used as research tools to study biological pathways involving leukotrienes or PAF, as appropriate.
- FIGS 1a and 1b are illustrations of the chemical structures with indicated stereochemistry of selected active compounds.
- Figure 4 is an illustration of one process for the synthesis of 2S,5S-trans-2-(4- fluorophenoxymethyl)-5-(4-N-hydroxyureidyl-1- butynyl)tetrahydrofuran (compound 401) and 2S,5R- t ⁇ ans-2-(4-fluorophenoxymethyl)-5-(4-N- hydroxyureidylbutyl) tetrahydrofuran (compound 401) and 2S,5R- t ⁇ ans-2-(4-fluorophenoxymethyl)-5-(4-N- hydroxyureidylbutyl) tetrahydrofuran (compound 401) and 2S,5R- t ⁇ ans-2-(4-fluorophenoxymethyl)-5-(4-N- hydroxyureidylbutyl) tetrahydrofuran (compound 401) and 2S,5R- t ⁇ ans-2-(4-fluorophenoxymethyl)-5-(4
- Figure 5 is a graph of the rate of
- the term “enantiomerically enriched” refers to a compound in the form of at least approximately 95%, and preferably
- alkyl as used herein, unless
- straight, branched, or cyclic hydrocarbon of C 1 to C 10 and specifically includes methyl, ethyl, propyl, isopropyl, butyl, isobutyl, t-butyl, pentyl, cyclopentyl, isopentyl, neopentyl, hexyl, isohexyl, cyclohexyl, 3-methylpentyl, 2,2- dimethylbutyl, and 2,3-dimethylbutyl.
- the alkyl group can be optionally substituted with any appropriate group, including but not limited to R 3 or one or more moieties selected from the group consisting of halo, hydroxyl, amino, alkylamino, arylamino, alkoxy, aryloxy, nitro, cyano, sulfonic acid, sulfate, phosphonic acid, phosphate, or phosphonate, either unprotected, or protected as necessary, as known to those skilled in the art, for example, as taught in Greene, et al.,
- halo refers to chloro, fluoro, iodo, or bromo.
- lower alkyl refers to a C 1 to C 6 saturated straight, branched, or cyclic (in the case of C 5-6 ) hydrocarbon, and specifically includes methyl, ethyl, propyl, isopropyl, butyl, isobutyl, t-butyl, pentyl, cyclopentyl, isopentyl, neopentyl, hexyl, isohexyl, cyclohexyl, 3-methylpentyl, 2,2- dimethylbutyl, and 2,3-dimethylbutyl, optionally substituted as described above for the alkyl groups .
- alkenyl refers to a straight, branched, or cyclic (in the case of C 5-6 ) hydrocarbon of C 2 to C 10 with at least one double bond
- lower alkenyl refers to an alkenyl group of C 2 to C 6 , and specifically includes vinyl and allyl.
- lower alkylamino refers to an amino group that has one or two lower alkyl substituents .
- alkynyl refers to a C 2 to C 10 straight or branched hydrocarbon with at least one triple bond, optionally substituted as described above.
- lower alkynyl refers to a C 2 to C 6 alkynyl group, specifically including acetylenyl, propynyl, and -C ⁇ C-CH(alkyl)-,
- aryl refers to phenyl, biphenyl, or napthyl, and preferably phenyl .
- the aryl group can be optionally substituted with any suitable group, including but not limited to one or more moieties selected from the group consisting of halo,
- haloalkyl haloalkenyl
- haloalkynyl refers to a alkyl, alkenyl, or alkynyl group in which at least one of the hydrogens in the group has been replaced with a halogen atom.
- heteroaryl heterocycle or
- heteroaromatic refers to an aromatic moiety that includes at least one sulfur, oxygen, or nitrogen in the aromatic ring, which can optionally be substituted as described above for the aryl groups.
- Non-limiting examples are pyrryl, furyl, pyridyl, 1, 2, 4-thiadiazolyl, pyrimidyl, thienyl, isothiazolyl, imidazolyl, tetrazolyl, pyrazinyl, pyrimidyl, quinolyl, isoquinolyl, benzothienyl, isobenzofuryl, pyrazolyl, indolyl, purinyl, carbazolyl, benzimidazolyl, and
- aralkyl refers to an aryl group with an alkyl substituent.
- alkaryl refers to an alkyl group that has an aryl substituent.
- organic or inorganic anion refers to an organic or inorganic moiety that carries a negative charge and can be used as the negative portion of a salt.
- pharmaceutically acceptable cation refers to an organic or inorganic moiety that carries a positive charge and that can be
- a pharmaceutical agent for example, as a countercation in a salt.
- Pharmaceutically acceptable cations are known to those of skill in the art, and include but are not limited to sodium, potassium, and quaternary amine.
- metabolically cleavable leaving group refers to a moiety that can be cleaved in vivo from the molecule to which it is attached, and includes but is not limited to an organic or inorganic anion, a pharmaceutically acceptable cation, acyl (for example (alkyl)C(O), including acetyl, propionyl, and butyryl), alkyl, phosphate, sulfate and sulfonate.
- acyl for example (alkyl)C(O), including acetyl, propionyl, and butyryl
- alkyl phosphate, sulfate and sulfonate.
- PAF receptor antagonist refers to a compound that binds to a PAF receptor with a binding constant of 30 ⁇ M or lower.
- 5-lipoxygenase inhibitor refers to a compound that inhibits the enzyme at 30 ⁇ M or lower in a broken cell system.
- pharmaceutically active derivative refers to any compound that upon administration to the recipient, is capable of providing directly or indirectly, the compounds disclosed herein.
- the 2,5-disubstituted tetrahydrothiophenes, tetrahydrofurans and pyrrolidines, as well as the 1,3-disubstituted cyclopentanes described herein exhibit PAF receptor antagonist activity or inhibit the enzyme 5-lipoxygenase, or have dual activity, and are thus useful in the treatment of humans who have immune allergic or cardiovascular disorders that are mediated by PAF or products of 5- lipoxygenase.
- the active compound or its precursor is administered in an enantiomerically enriched form, i.e., substantially in the form of one isomer.
- enantiomer is easily determined by evaluating the various possible enantiomers in selected biological assays, for example, those described in detail herein.
- the 2,5-disubstituted tetrahydrofurans, tetrahydrothiophenes, and pyrrolidines exhibit a number of stereochemical configurations.
- Carbon atoms 2 and 5 in the center ring are chiral, and thus the center ring exists at a minimum as a diastereomeric pair.
- Each diastereomer exists as a set of enantiomers. Therefore, based on the chiral C 2 and C 5 atoms alone, the compound is a mixture of four enantiomers.
- C 3 and C 4 atoms are also chiral, and can also exist as a diastereomeric pair, that is also a mixture of four enantiomers.
- the 1,3-cyclopentanes disclosed herein also exhibit a number of stereochemical configurations. Carbon atoms 1 and 3 in the center ring are chiral, and thus the center ring exists at a minimum as a diastereomeric pair. Each diastereomer exists as a set of enantiomers. Therefore, based on the chiral C 1 and C 3 atoms alone, the compound is a mixture of four enantiomers.
- Recrystallization can be performed at any stage in the preparation of the compound, or the final enantiomeric product. If successful, this simple approach represents a method of choice.
- Non-limiting examples of chiral acids include malic acid, mandelic acid, dibenzoyl tartaric acid, 3- bromocamphor-8-sulfonic acid, 10-camphorsulfonic acid, and di-p-toluoyltartaric acid.
- acylation of a free hydroxyl group with a chiral acid also results in the formation of
- Enantiomerically pure or enriched compounds can be obtained by passing the racemic mixture through a chromatographic column that has been designed for chiral separations, or by enzymatic resolution of appropriately modified substrates.
- the 2,5-disubstituted tetrahydrofurans, tetrahydrothiophenes, and pyrrolidines disclosed herein can be prepared in a variety of ways known to those skilled in the art, including by methods disclosed by Whittaker et al, Synlett, 1993 pp 111, Biorg. Med. Lett., 1993 pp 1499; Achiwa et al., Chem. Pharm. Bull., 1989, pp. 1969.
- enantiomeric synthesis begins with the chiral reduction of a ketone. After ring closure and reaction of the -OH group, the cis and trans isomers can be separated by standard means known to those skilled in the art, affecting a
- 1,3-Disubstituted cyclopentanes can be
- Scheme 5 shows the synthesis of 2-(3,4,5- trimethoxyphenyl)-5-[3-(N'-substituted-N'- hydroxyureidyl)propoxy] tetrahydrofuran (1-4) and 2-(4-fluorophenyl)-5-[3-(N'-substituted-N'- hydroxyureidyl) propoxy] tetrahydrofuran (9-12):
- Scheme 6 shows the synthesis of 2-(3,4- dimethoxyphenyl)-5-[3-N'-substituted-N'- hydroxyureidyl propoxy] tetrahydrofuran (5-8) :
- the ketone ester 101 (1.09 g, 3.36 mmol) was added to 10 mL THF and 20 mL methanol.
- An aqueous solution of NaBH 4 (127.3 mg, 3.36 mmol in 5 mL water) was added to this mixture in a dropwise manner at 0°C .
- the reaction mixture was stirred at room temperature for 4 hours, quenched with water and extracted with ethyl acetate. The organic layer was washed with water, saturated NaCl solution, dried over MgSO 4 , filtered and evaporated in vacuo to provide the product (1.13 g, 103%).
- This compound was prepared from 119 using a procedure similar to that set forth in Example
- the hydroxy ester 102 (1.13 g, 3.47 mmol) was added to 4 mL methanol, 1.5 mL water and 5M aqueous sodium hydroxide solution (4.5 mL). The reaction mixture was stirred at room temperature for 30 minutes and then 12 mL of saturated aqueous NaHCO 3 solution was added. The aqueous phase was washed with ether, acidified to pH 1-2 by adding cone. HCl, and extracted with benzene (2 x 30 mL). The benzene layer was checked by TLC which showed that some of the lactone has been formed. PPTS (10mg) was added to the benzene extract and the mixture was refluxed for 1 hour to remove water. The reaction mixture was washed with saturated NaHCO 3 solution and evaporated in vacuo to provide the desired lactone as a solid (700 mg, 80%). 1 H NMR
- This compound was prepared from 120 using a procedure similar to that set forth in Example
- Lactone 104 (6.86 g, 27.22 mmol) was dissolved in dry toluene (100 mL) and the solution was cooled to -70°C. A 1.5 M toluene solution of DIBALH (28 mL) was added to the solution in a dropwise manner. The reaction mixture was stirred at -70°C for 1 hour. The reaction was quenched through the addition of methanol (11 mL) while maintaining a temperature of ⁇ -60°C. The mixture was warmed to -20°C followed by the addition of saturated aqueous potassium sodium tartrate solution (96 mL) while the reaction temperature was maintained between -10 and 0°C.
- reaction mixture was cooled with an ice bath and trifluoroacetic anhydride (1.41 g, 6.73 mmol) was added in a dropwise manner.
- the reaction mixture was stirred at 0°C for 30 minutes and then 3- phthalimidylpropanol (106) (2.4 g, 13.26 mmol) was added.
- the reaction mixture was warmed to room temperature and stirred at room temperature for 2 hours .
- the reaction was quenched with saturated aqueous NaHCO 3 solution and extracted with ethyl acetate.
- Trans isomer (107) In this experiment the triplet at 4.99 ppm was irradiated with a very low rf decoupling pulse and the data work-up was done so as to only measure the presence of an increase in signal. This would represent a positive NOE effect and would indicate the close spacial relationship of these protons . In this experiment an NOE was found for the multiplet at 2.25-2.36 ppm which is a furan ring proton. Another NOE was also seen for the aromatic protons, indicating that this triplet represents the benzylic proton. There was not an NOE observed for the double doublet at 5.30 ppm indicating this was the trans isomer.
- Cis isomer (108) In order to determine the stereochemistry of this molecule an NOE difference experiment was carried out. In this experiment the multiplet at 4.88-4.93 ppm was irradiated with a very low rf decoupling pulse and the data work-up was done so as to only measure the presence of an increase in signal. This would represent a
- the cis isomer 110 was prepared from 108 using a procedure similar to that described for 109.
- triphosgene 23 mg, 0.078 mmol
- Triethylamine 29.3, 0.29 mmol
- the reaction mixture was refluxed for 2 hours and then cooled with ice bath.
- Triethylamine 34.0 mg, 0.34 mmol
- methylhydroxyamine hydrochloride 32.2 mg, 0.39 mmol
- the cis isomer 3 was prepared from 110 using a procedure similar to that described for 1. 1 H NMR (CDCl 3 ): 1.83(m,2H); 2.07(m,3H); 2.28(m,1H); 3.13(s,3H); 3.35(m,2H); 3.55(m,1H); 3.84(s,3H);
- triphosgene 23 mg, 0.078 mmol
- Triethylamine 29.3, 0.29 mmol
- Butylhydroxyamine 51.4 mg, 0.29 mmol
- the reaction mixture was stirred at room temperature for 16 hours, quenched with water and extracted with dichloromethane.
- the organic layer was washed with saturated NaCl solution and evaporated in vacuo to an oil.
- the trans product 2 was. separated by preparative TLC (silica, ethyl acetate) (46.9 mg,
- Triflic anhydride (0.68 ml, 4.8 mmol) was added in a single portion to a stirred solution of 114 (0.72 g, 3.2 mmol) in dry dichloromethane (20 ml) and triethylamine (0.68 ml, 4.9 mmol) under argon which was cooled using an ice bath. The reaction was stirred at 0°C for 30 minutes. N-(3- hydroxypropyl)phthalimide (106) (1.27 g, 7 mmol) was added to the reaction mixture and the solution was allowed to warm to room temperature and left at this temperature for two hours. The solution was quenched with aqueous sodium bicarbonate solution
- Neat hydrazine hydrate (150 ⁇ l , 3.2 mmol) was added to a stirred solution of 115 (253 mg, 0.62 mmol) in absolute ethanol (1.5 ml). The solution was heated at reflux for 5 minutes whereupon a white solid precipitated out of solution. The mixture was heated at reflux for two hours.
- Neat hydrazine hydrate (125 ⁇ l, 2.57 mmol) was added to a stirred solution of 116 (210 mg, 0.51 mmol) in absolute ethanol (3.0 ml). The solution was heated at reflux for 5 minutes whereupon a white solid precipitated out of solution. The mixture was heated at reflux for two hours.
- Triethylamine 32 ⁇ l, 0.22 mmol
- triphosgene (19 mg, 0.06 mmol) were added to a stirred solution of 117 (53 mg, 0.19 mmol) in dry dichloromethane (3 ml) under argon.
- the solution was heated at reflux for 30 minutes and cooled to room temperature.
- Solid n-butylhydroxylamine 34 mg, 0.38 mmol was added in one portion to the solution which was left overnight at room
- n-butylhydroxylamine 32 mg, 0.36 mmol. The reaction was left overnight at room temperature. It was then quenched with water (10 ml) and
- reaction mixture was cooled with an ice bath and trifluoroacetic anhydride (1.24 g, 5.90 mmol) was added dropwise.
- the reaction mixture was stirred at 0°C for 30 minutes and then 3-bromopropanol (1.84 g, 13.27 mmol) was added.
- the reaction mixture was warmed to room temperature and stirred at room temperature for 2 hours.
- the reaction was quenched with saturated aqueous NaHCO 3 solution and extracted with ethyl acetate.
- the organic layer was washed with water and saturated NaCl solution, dried over MgSO 4 , filtered and evaporated in vacuo to an oil which was purified by column chromatography
- the reaction flask was stored in the freezer (-78°C) over night (though the TLC did not show any change).
- the reaction mixture was poured into a 2M solution of ammonium chloride (50 mL) and extracted with methylene chloride (3 X 50 mL). The solution was dried over sodium sulfate and the solvent was removed in vacuo .
- the residue was purified via flash column chromatography (eluent, 10% ethyl acetate in hexane) to obtain two components . From the proton NMR analysis, the less polar component was
- trans-2-(3-Tetrahydropyranyloxy-but-1-ynyl)- 5-(4-fluorophenyl)tetrahydrofuran (204, 280 mg, 0.9 mmol) was dissolved in methanol (15 mL) .
- methanol 15 mL
- p-toluenesulfonic acid 50 mg
- Saturated sodium bicarbonate solution 10 mL was added. After 5 minutes of stirring, the solution was added to 10 mL of water, diluted with 15 mL of brine and extracted with methylene
- Phenoxycarbonyloxy-N-phenoxycarbonyl- amino)-but-1-ynyl ⁇ -5-(4-fluorophenyl) tetrahydrofuran (compound 206): trans-2-(3-Hydroxy-but-1-ynyl)-5-(4- fluorophenyl) tetrahydrofuran (205, 210 mg, 0.89 mmol), triphenylphosphine (288 mg, 1.1 mmol) and N,O-bis(phenoxycarbonyl)hydroxylamine (283 mg, 1.1 mmol) were dissolved in dry THF (5 mL).
- Trans-2- ⁇ 3-(N-phenoxycabonyloxy-N- phenoxycarbonyl-amino)-but-1-ynyl ⁇ -5-(4- fluorophenyl) tetrahydrofuran (206, 200 mg, 0.41 mmol) was dissolved in a high pressure tube as a solution in methylene chloride. The solvent was evaporated with a stream of argon and the residue was cooled to -78°C. Ammonia (8 mL) was condensed in this tube and 4 mL of t-butanol was added. The tube was sealed, allowed to slowly warm to the room temperature, and stirred at room temperature for 18 hours. The pressure was released very slowly and the tube was left open for 1 hour.
- tetrahydrofuran 211, 620 mg, 3.5 mmol
- t- butyldimethylsilyl chloride 700 mg, 5.25 mmol
- imidazole 595 mg, 8.75 mmol
- the resulting solution was stirred under dry argon overnight, poured into 200 mL of water, and extracted with a 2:1 mixture of ethyl acetate and hexane (3 X 100 mL).
- n-butyllithium (1.8 mL of 2.5M solution in hexane, 4.5 mmmol) was added dropwise. The stirring was continued for an additional 0.5 hours .
- the hydroxy function of 228 was esterified with R-alpha-methoxyphenylacetic acid (DCC, DMAP, CH 2 Cl 2 , 55% after chromatography) and the resulting diasteriomers (229+230) were separated (flash chromatography), thus isolating the R and S isomers at the carbinol carbon.
- the ester was removed by base hydrolysis (KOH, 78%)to give the carbinols 231 and 232. Absolute configurations were assigned based on the Mosher model.
- oxygen protecting groups known to those skilled in the art other than 4-t-butyldimethylsilyl can be used as desired.
- Humans, equines, canines, bovines and other animals, and in particular, mammals, suffering from inflammatory diseases, and in particular, disorders mediated by PAF or products of 5-lipoxygenase can be treated by administering to the patient an effective amount of one or more of the above- identified compounds or a pharmaceutically
- the active materials can be administered by any appropriate route, for example, orally, parenterally, intravenously, intradermally, subcutaneously, or topically, in liquid, cream, gel, or solid form, or by aerosol form.
- salts or complexes refers to salts or complexes that retain the desired biological activity of the above-identified compounds and exhibit minimal undesired toxicological effects.
- Non-limiting examples of such salts are (a) acid addition salts formed with inorganic acids (for example, hydrochloric acid, hydrobromic acid, sulfuric acid, phosphoric acid, nitric acid, and the like), and salts formed with organic acids such as acetic acid, oxalic acid, tartaric acid, succinic acid, malic acid, ascorbic acid, benzoic acid, tannic acid, pamoic acid, alginic acid, polyglutamic acid, naphthalenesulfonic acid, naphthalenedisulfonic acid, and polygalacturonic acid; (b) base addition salts formed with metal cations such as zinc, calcium, bismuth, barium, magnesium, aluminum, copper, cobalt, nickel, cadmium, sodium, potassium, and the like,
- quaternary salts known by those skilled in the art, which specifically include the quaternary ammonium salt of the formula -NR 3 + Z- , wherein R is alkyl or benzyl, and Z is a counterion, including chloride, bromide, iodide, -O-alkyl, toluenesulfonate, methylsulfonate, sulfonate, phosphate, or carboxylate (such as benzoate, succinate, acetate, glycolate, maleate, malate, citrate, tartrate, ascorbate, benzoate, cin ⁇ amoate, mandeloate, benzyloate, and
- the active compound is included in the pharmaceutically acceptable carrier or diluent in an amount sufficient to deliver to a patient a therapeutically effective amount without causing serious toxic effects in the patient treated.
- a preferred dose of the active compound for all of the above-mentioned conditions is in the range from about 10 ng/kg to 300 mg/kg, preferably 0.1 to 100 mg/kg per day, more generally 0.5 to about 25 mg per kilogram body weight of the recipient per day.
- a preferred dosage for cardiovascular indications is in the range 10 ng/kg to 20 mg/kg.
- a typical topical dosage will range from 0.01 - 3% wt/wt in a suitable carrier.
- the effective dosage range of the pharmaceutically acceptable derivatives can be calculated based on the weight of the parent compound to be delivered. If the derivative exhibits activity in itself, the effective dosage can be estimated as above using the weight of the derivative, or by other means known to those skilled in the art.
- the compound is conveniently administered in any suitable unit dosage form, including but not limited to one containing 1 to 3000 mg, preferably 5 to 500 mg of active ingredient per unit dosage form.
- a oral dosage of 25-250 mg is usually convenient .
- the active ingredient is preferably
- the concentration of active compound in the drug composition will depend on absorption, distribution, inactivation, and excretion rates of the drug as well as other factors known to those of skill in the art. It is to be noted that dosage values will also vary with the severity of the condition to be alleviated. It is to be further understood that for any particular subject, specific dosage regimens should be adjusted over time according to the individual need and the professional judgment of the person administering or supervising the administration of the
- compositions and that the concentration ranges set forth herein are exemplary only and are not
- the active ingredient may be administered at once, or may be divided into a number of smaller doses to be administered at varying intervals of time.
- Oral compositions will generally include an inert diluent or an edible carrier. They may be enclosed in gelatin capsules or compressed into tablets .
- the active compound can be any active compound.
- the tablets, pills, capsules, troches and the like can contain any of the following ingredients, or compounds of a similar nature: a binder such as microcrystalline cellulose, gum tragacanth or gelatin; an excipient such as starch or lactose, a dispersing agent such as alginic acid, Primogel, or corn starch; a lubricant such as magnesium stearate or Sterotes; a glidant such as colloidal silicon dioxide; a sweetening agent such as sucrose or saccharin; or a flavoring agent such as peppermint, methyl salicylate, or orange flavoring.
- a binder such as microcrystalline cellulose, gum tragacanth or gelatin
- an excipient such as starch or lactose, a dispersing agent such as alginic acid, Primogel, or corn starch
- a lubricant such as magnesium stearate or Sterotes
- a glidant such as colloidal silicon dioxide
- the active compound or pharmaceutically acceptable salt or derivative thereof can be administered as a component of an elixir,
- a syrup may contain, in addition to the active compounds, sucrose as a sweetening agent and certain preservatives, dyes and colorings and flavors .
- the active compound or pharmaceutically acceptable derivatives or salts thereof can also be mixed with other active materials that do not impair the desired action, or with materials that supplement the desired action, such as antibiotics, antifungals, other antiinflammatories, or antiviral compounds.
- Solutions or suspensions used for parenteral, intradermal, subcutaneous, or topical application can include the following components: a sterile diluent such as water for injection, saline
- glycerine propylene glycol or other synthetic solvents
- antibacterial agents such as benzyl alcohol or methyl parabens
- antioxidants such as ascorbic acid or sodium bisulfite
- chelating agents such as ethylenediaminetetraacetic acid
- buffers such as acetates, citrates or phosphates and agents for the adjustment of tonicity such as sodium chloride or dextrose.
- the parental preparation can be enclosed in ampoules, disposable syringes or multiple dose vials made of glass or plastic.
- preferred carriers are physiological saline or phosphate buffered saline (PBS).
- the active compounds are prepared with carriers that will protect the compound against rapid elimination from the body, such as a controlled release formulation, including implants and microencapsulated delivery systems .
- a controlled release formulation including implants and microencapsulated delivery systems .
- Biodegradable, biocompatible polymers can be used, such as ethylene vinyl acetate, polyanhydrides, polyglycolic acid, collagen, polyorthoesters, and polylactic acid. Methods for preparation of such formulations will be apparent to those skilled in the art.
- the materials can also be obtained commercially from Alza Corporation (CA) and Scios Nova (Baltimore, MD).
- Liposomal suspensions may also be used.
- liposome formulations may be prepared by dissolving appropriate lipid(s) (such as stearoyl phosphatidyl ethanolamine, stearoyl phosphatidyl choline, arachadoyl phosphatidyl choline, and cholesterol) in an inorganic solvent that is then evaporated, leaving behind a thin film of dried lipid on the surface of the container.
- appropriate lipid(s) such as stearoyl phosphatidyl ethanolamine, stearoyl phosphatidyl choline, arachadoyl phosphatidyl choline, and cholesterol
- diphosphate, and/or triphosphate derivatives are then introduced into the container.
- the container is then swirled by hand to free lipid material from the sides of the container and to disperse lipid aggregates, thereby forming the liposomal
- a wide variety of biological assays have been used to evaluate the ability of a compound to act as a PAF receptor antagonist, including the ability of the compound to bind to PAF receptors, and the effect of the compound on various PAF mediated pathways. Any of these known assays can be used to evaluate the ability of the compounds disclosed herein to act as PAF receptor antagonists .
- PAF mediated acute circulatory collapse can be used as the basis of an assay to evaluate the ability of a compound to act as a PAF
- Endotoxemia causes the release of chemical mediators including eicosanoids, PAF, and tumor necrosis factor (TNF) that stimulate a variety of physiologic responses including fever, hypotension, leukocytosis, and disturbances in glucose and lipid metabolism. Endotoxemia can result in severe shock and death. Endotoxin-induced mouse mortality is a useful animal model to evaluate the pharmacological effect of compounds on endotoxic shock.
- chemical mediators including eicosanoids, PAF, and tumor necrosis factor (TNF) that stimulate a variety of physiologic responses including fever, hypotension, leukocytosis, and disturbances in glucose and lipid metabolism.
- Endotoxemia can result in severe shock and death. Endotoxin-induced mouse mortality is a useful animal model to evaluate the pharmacological effect of compounds on endotoxic shock.
- a wide variety of biological assays have also been used to evaluate the ability of a compound to inhibit the enzyme 5-lipoxygenase.
- a cytosol 5-lipoxygenase of rat basophilic leukemia cells (RBL) has been widely utilized in studies on leukotriene biosynthesis .
- Compounds that inhibit 5-li ⁇ oxygenase decrease the levels of leukotrienes.
- Human platelet membranes are prepared from platelet concentrates obtained from the American Red Cross Blood Services (Dedham, MA) . After several washes with platelet wash solution (150 mM NaCl, 10 mM Tris, and 2 mM EDTA, pH 7.5), the platelet pellets are resuspended in 5 mM MgCl 2 , 10 mM Tris, and 2 mM EDTA at pH 7.0. The cells are then quickly frozen with liquid nitrogen and thawed slowly at room temperature. The freezing and thawing procedure is repeated at least three times.
- the lysed membrane suspension is layered over the top of a discontinuous sucrose density gradient of 0.25, 1.03, and 1.5 M sucrose prepared in 10 mM MgCl 2 , 10 mM Tris and 2 mM EDTA, pH 7.0, and
- membrane fractions banding between 0.25 and 1.03 M (membrane A) and between 1.03 and 1.5 M (membrane B) are collected separately.
- the protein concentration of the membrane preparations is determined by Lowry's method with bovine serum albumin (BSA) as the standard.
- BSA bovine serum albumin
- [ 3 H]PAF The ability of [ 3 H]PAF to bind to specific receptors on human platelet i..mbranes is evaluated at optimal conditions at pH 7.0 and in the presence of 10 mM MgCl 2 .
- Membrane protein 100 ⁇ g is added to a final 0.5 ml solution containing 0.15 pmol (0.3 nM concentration) of [ 3 H]PAF and a known amount of unlabeled PAF or PAF receptor antagonist in 10 mM MgCl 2 , 10 mM Tris and 0.25% BSA at pH 7.0. After incubation for four hours at 0°C, the bound and unbound [ 3 H]PAF are separated through a Whatman GF/C glass fiber filter under vacuum.
- the nonspecific binding is defined as the total binding in the presence of excess unlabeled PAF (1 mM) where no further displacement is found with higher concentrations of either unlabeled PAF or PAF analogs or PAF receptor antagonists.
- the specific binding is defined as the difference between total binding and
- [ 3 H]PAF binding in the presence of inhibitors is normalized in terms of percent inhibition by assigning the total binding in the absence of inhibitors as 0% inhibition and the total binding in the presence of 1 mM unlabeled PAF as 100%.
- the percent inhibition by the compound can be calculated by the formula expressed below:
- % inhibition [(Total binding - total binding in the presence of compound)/nonspecific binding] x 100%
- the IC 50 is calculated as the
- concentration of the inhibitor necessary to obtain 50% inhibition of the specific [ 3 H]PAF binding is calculated by a nonlinear regression computer software program, GraphPad Inplot, version 3.0 (GraphPad software, San Diego, CA).
- mice Female CD-1 mice, weighing 16-20 grams, are obtained from Charles River Laboratory (Wilmington, MA). Tap water and rodent laboratory chow (5001, Purina Mills, St. Louis, MO) are provided ad libitum. The mice are housed for an average of four days prior to use.
- PAF 1-0-alkyl-2-acetyl-sn-glyceryl-3- phosphorylcholine, Sigma Chemical Co.
- BSA bovine serum albumin
- 10 ⁇ g (10 ml/kg) of PAF solution is injected into the tail vein. All test compounds are dissolved in 0.5 DMSO saline solution and intravenously injected at 3 mg/kg body weight 15 minutes prior to PAF
- test compounds are given intravenously at 3 mg/kg 15 minutes before PAF (10 ug/kg, intravenously) or AA (0.5 mg/ear) in mice.
- Washed rat RBL cells (4x108) were suspended in 20 ml of 50 M potassium phosphate buffer at pH 7.4 containing 10% ethylene glycol/1 mM EDTA (Buffer A). The cell suspension was sonicated at 20 KHz for 30 seconds, and the sonicate was centrifuged at 10,000 x g for 10 minutes, followed by further centrifugation at 105,000 x g for 1 hr. The supernatant solution (cytosol fraction) containing 5-lipoxygenase was stored at - 70°C. Protein concentration was determined according to the procedure of Bradford (Bradford Dye Reagent) with bovine serum albumin as a standard.
- the mixture contained 50 mM potassium phosphate buffer at pH 7.4, 2 mM CaCl 2 , 2 mM ATP, 25 M arachidonic acid (0.1 Ci) and enzyme (50-100 mg of protein) in a final volume of 200 L. The reaction was carried out at 24°C for 3 minutes. The mixture was
- RBL-1 cells are grown to confluence (2 x
- Cells are harvested and washed twice in calcium-free and magnesium-free PBS. Cells are suspended at 2 x 10 7 /ml in 50 mM K 2 HPO 4 pH 7.4, 10% PEG-8000, 1 mM EDTA, 1 mM PMSF, and then sonicated. The lysate is centrifuged at 100,000 x g for 1 hour at 4°C, and the supernatant (cytosol) is removed and stored in aliquots at -70°C.
- the 5-LO activity in the RBL-1 cytosol is determined as follows: 0.2 ml reactions consisting of 5 mM CaCl 2 , 2mM ATP, 50 mM K 2 HPO 4 ph 7.4, varying concentrations of test compound (from 10 ml of compound dissolved in DMSO) , and a concentration of RBL-1 cytosol that will convert 50% of the [ 14 C] arachidonic acid substrate to oxygenated products (determined experimentally for each cytosol
- Table 5 providees data for the inhibition of soluble 5-lipoxygenase in RBL-1 cell extract by racemic compound 202, as well as its enantiomers, compounds 216, 217, 234, and 236.
- Human blood is drawn into heparinized blood collection tubes, and aliquoted in 1 ml portions into 1.5 ml microfuge tubes.
- Calcium ionophore (5 ml) (A23187) in DMSO is added to a final concentration of 50 mM, and the samples are incubated for 30 minutes at 37°C. Samples are then centrifuged at 1100 x g (2500 rpm, H1000B rotor, in a Sorvall centrifuge) for 10 minutes at 4°C. 100 ml of supernatant is transferred into a 1.5 ml microfuge tube, 400 ml of cold methanol is added, and
- Table 5 provides data for the inhibition of leukotriene B 4 production in ionophore-stimulated human whole blood by racemic compound 202, as well as its enantiomers, compounds 216, 217, 234, and 236.
- Example 9 Ex-vivo mouse and rat whole blood 5- lipoxygenase evaluation
- CD-1 female mice weighing 18-25 grams, and CD female rates, weighing 150-230 grams, were obtained from Charles River Labs. Compounds were dissolved in 0.5% DMSO in 0.9% NaCl for administration in mice (0.5 mg/ml) and in an alcohol vehicle (2% benzyl alcohol, 1% ethanol, 40% PEG 300 10%
- propylene glycol 47% of 5% dextrose plus 3.5% pluronic F-68 in DiH 2 O
- rates 5 mg/ml
- Animals were injected with compound (5 mg/kg) or corresponding vehicle (0.5% DMSO in saline, 10 ml/kg for mice; alcohol vehicle, 1. ml/kg for rats) 15 minutes before they were sacrificed by
- the sample was incubated for 30 minutes in a water bath of 37°C, and then centrifuged for 2 minutes.. The plasma was diluted (x120) and assayed for LTB 4 using EIA.
- Table 5 provides data for the ex-vivo mouse and rat whole blood 5-lipoxygenase values on administration of racemic compound 202, as well as its enantiomers, compounds 216, 217, 234, and 236.
- the rate of glucuronidation is a measure of the metabolic stability in vivo of the compounds disclosed herein.
- Table 5 provides data for, and Figure 2 illustrates, the rate of glucuronidation of racemic compound 202, as well as its enantiomers, compounds 216, 217, 234, and 236.
- RBL-2H3 cells were grown to confluence in tissue culture flasks according to Carter et al . (J Pharm Exp Ther 256(3); 929-937, 1991). The cells were harvested and washed five times in calcium-and magnesium-free D-PBS. The cells were suspended at 2 x 10 7 /ml in 10 mM BES, 10 mM PIPES, pH 6.8, 1 mM EDTA, and then sonicated. The
- the 5-LO activity in the RBL-2H3 preparation was determined as follows: 0.1 ml reactions consisting of 0.7 mM CaCl 2 , 100 mM NaCl, 1 mM EDTA, 10 mM BES, 10 MM PIPES, pH 7.4, varying
- Test compound 5 ml of varying concentrations, dissolved in DMSO, was added to the blood sample and incubated for 15 minutes at 37°C.
- Calcium ionophore 5 ml, A23187
- Samples are then centrifuged at 1100 x g (2500 rpm, H1000B rotor, in a Sorvall centrifuge) for 10 minutes at 4°C.
- CD-1 female mice weighing 18-25 grams, and CD female rats, weighing 150-230 grams, were obtained from Charles River Labs. Test compounds were dissolved in 0.5% DMSO in 0.9% NaCl for
- mice 0.5 mg/ml
- an alcohol vehicle 2% benzyl alcohol, 1% ethanol, 40% PEG 300, 10% propylene glycol, 47% of 5% dextrose and 3.5% pluronic F-68 in DiH 2 O
- rats 5 mg/ml
- Animals were injected with compounds (5 mg/kg) or corresponding vehicle (0.5% DMSO in saline, 10 ml/kg for mice; alcohol vehicle, 1 ml/kg for rats) 15 minutes before they were sacrificed by decapitation.
- Heparinized whole blood 0.3 ml was added into 1.5 ml Eppendorf centrifuge tube
- the rate of glucuronidation is a measure of the metabolic stability in vivo of the compounds disclosed herein.
- Accumulation of inflammatory cells in the lung is one of the pathological features of asthma.
- Eosinophils in blood and lung lavage fluid has been observed after allergen inhalation in the patients .
- Eosinophils appear to be important effector cells in allergic inflammation, with the cytotoxic properties of its granule proteins and the potential of releasing inflammatory mediators.
- Prevention of allergen-induced eosinophil influx into the lung is considered a credible target for novel anti-asthmatic drugs.
- Leukotrienes are products of the arachidonic acid 5-lipoxygenase (5-LO) pathway.
- Lipoxygenase metabolites LTB4, 5-oxo-15-hydroxy- eicosatetraenoic acid
- a 5-LO inhibitor which is able to block immediate bronchoconstriction and also to reduce later accumulation of eosinophils into lung tissue consequent to allergen challenge may be beneficial to the prevention and treatment of asthma.
- Eosinophil infiltration into the lung can be measured by counting the cell number in the
- bronchoalveolar lavage fluid BALF from allergen- challenged guinea-pigs or mice.
- Guinea pig model Female Hartley guinea-pigs, weighing 400-500g, were actively sensitized to ovalbumin (OVA) by i.p. injection of 20 ⁇ g OVA and 100 mg Al(OH) 3 in 0.5 ml 0.9%NaCl on Day 1 and Day 2. Animals were challenged with 0.5% OVA (in 0.9% NaCl) aerosol for 30 sec on Day 15 and Day 16. The compounds were prepared in 10% PEG 200 or 0.5% carboxymethylcellulose and administered p.o. 3 times (1 hr. before each challenge and between the two challenges). To prevent histamine release- induced death, pyrilamine (3 mg/kg, i.p.) was given 15 minutes before each challenge. After 24 hours following the first challenge (or 4 hours after the last challenge), animals were bled from the carotid under anesthesia. BAL was performed with OVA and 100 mg Al(OH) 3 in 0.5 ml 0.9%NaCl on Day 1 and Day 2. Animals were challenged with 0.5% OVA (in 0.9% Na
- mice model Male C57 BL/6 mice, weighing 21- 23g, were actively sensitized to OVA by
- Eosinophil accumulation [(vehicle - sham)-(treated - sham)]/ (vehicle- sham)xl00.
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BR9508196A BR9508196A (pt) | 1994-06-27 | 1995-06-27 | Composto uso de compostos composição farmacêutica e processo para tratamento de doenças inflamatórias em hospedeiro |
MX9606635A MX9606635A (es) | 1994-06-27 | 1995-06-27 | Compuestos y metodos para el tratamiento de desordenes cardiovasculares, inflamatorios e inmunes. |
CA002194064A CA2194064C (en) | 1994-06-27 | 1995-06-27 | Compounds and methods for the treatment of cardiovascular, inflammatory and immune disorders |
DE69532077T DE69532077T2 (de) | 1994-06-27 | 1995-06-27 | Verbindungen und verfahren zur behandlung von cardiovaskulären, inflammatorischen und das immunsystem betreffende erkrankungen |
EP95924755A EP0770064B1 (en) | 1994-06-27 | 1995-06-27 | Compounds and methods for the treatment of cardiovascular, inflammatory and immune disorders |
AT95924755T ATE253564T1 (de) | 1994-06-27 | 1995-06-27 | Verbindungen und verfahren zur behandlung von cardiovaskulären, inflammatorischen und das immunsystem betreffende erkrankungen |
EE9600184A EE9600184A (et) | 1994-06-27 | 1995-06-27 | Kardiovaskulaar-, inflammatoor- ja immuunhaiguste raviühendid ja -meetodid |
KR1019960707448A KR100276570B1 (ko) | 1994-06-27 | 1995-06-27 | 심혈관질환염증성질환및면역성질환치료용화합물 |
AU29142/95A AU703756B2 (en) | 1994-06-27 | 1995-06-27 | Compounds and methods for the treatment of cardiovascular, inflammatory and immune disorders |
JP50344896A JP3766896B2 (ja) | 1994-06-27 | 1995-06-27 | 心・血管の、炎症性の、及び免疫性の疾患の治療のための化合物及び方法 |
FI965123A FI965123A (fi) | 1994-06-27 | 1996-12-19 | Yhdisteitä ja menetelmiä sydänverisuonitautien, tulehdustautien ja immuunihäiriöiden hoitamiseksi |
NO965569A NO965569L (no) | 1994-06-27 | 1996-12-23 | Forbindelser og fremgangsmåter for behandling av kardiovaskulære, inflammatoriske og immunoforstyrrelser |
HK98103657A HK1004396A1 (en) | 1994-06-27 | 1998-04-29 | Compounds and methods for the treatment of cardiovascular, inflammatory and immune disorders. |
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US08/265,656 | 1994-06-27 | ||
US08/265,656 US5792776A (en) | 1994-06-27 | 1994-06-27 | Compounds and methods for the treatment of cardiovascular, inflammatory and immune disorders |
US08/390,641 US6201016B1 (en) | 1994-06-27 | 1995-02-17 | Compounds and methods for the treatment of cardiovascular, inflammatory and immune disorders |
US08/390,641 | 1995-02-17 | ||
US08/454,600 US5750565A (en) | 1995-05-25 | 1995-05-25 | Compounds and methods for the treatment of cardiovascular, inflammatory and immune disorders |
US08/454,600 | 1995-05-31 | ||
US08/454,748 US5703093A (en) | 1995-05-31 | 1995-05-31 | Compounds and methods for the treatment of cardiovascular, inflammatory and immune disorders |
US08/454,748 | 1995-05-31 |
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KR (1) | KR100276570B1 (fi) |
CN (1) | CN1151125C (fi) |
AT (1) | ATE253564T1 (fi) |
AU (1) | AU703756B2 (fi) |
BR (1) | BR9508196A (fi) |
CA (1) | CA2194064C (fi) |
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EE (1) | EE9600184A (fi) |
FI (1) | FI965123A (fi) |
HK (1) | HK1004396A1 (fi) |
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NO (1) | NO965569L (fi) |
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US11389512B2 (en) | 2015-06-22 | 2022-07-19 | Ampio Pharmaceuticals, Inc. | Use of low molecular weight fractions of human serum albumin in treating diseases |
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KR101496096B1 (ko) * | 2014-07-17 | 2015-03-02 | 주식회사 큐리언트 | 화합물 및 염증성 질환 치료용 약학적 조성물 |
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Also Published As
Publication number | Publication date |
---|---|
AU2914295A (en) | 1996-01-19 |
CN1151125C (zh) | 2004-05-26 |
KR100276570B1 (ko) | 2001-02-01 |
FI965123A0 (fi) | 1996-12-19 |
CN1163610A (zh) | 1997-10-29 |
CZ372096A3 (cs) | 1998-04-15 |
EP0770064A4 (en) | 1998-01-14 |
HUT77773A (hu) | 1998-08-28 |
DE69532077D1 (de) | 2003-12-11 |
NO965569L (no) | 1997-02-17 |
ATE253564T1 (de) | 2003-11-15 |
EP0770064B1 (en) | 2003-11-05 |
HU9603611D0 (en) | 1997-02-28 |
EE9600184A (et) | 1997-06-16 |
EP0770064A1 (en) | 1997-05-02 |
CA2194064A1 (en) | 1996-01-04 |
FI965123A (fi) | 1997-02-26 |
NO965569D0 (no) | 1996-12-23 |
BR9508196A (pt) | 1997-09-02 |
RU2190607C2 (ru) | 2002-10-10 |
HK1004396A1 (en) | 1998-11-27 |
PL317873A1 (en) | 1997-04-28 |
MX9606635A (es) | 1997-12-31 |
CA2194064C (en) | 2009-03-17 |
AU703756B2 (en) | 1999-04-01 |
DE69532077T2 (de) | 2004-09-02 |
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